Bill > HB539

This bill requires health plans to provide comprehensive coverage for substance use disorder treatment, to be known as Braxton's Law. The bill defines comprehensive treatment as including inpatient facility care, partial hospitalization programs, and in-home programs accessed through telehealth. Health plans must provide coverage for at least six months without limiting authorization to specific healthcare professionals or facilities (though in-network restrictions may apply). The legislation applies to various types of health plans, including those for state employees, limited health service benefit plans, and self-insured employer group plans at state postsecondary educational institutions. The bill mandates that these health plans cover substance use disorder treatment comprehensively, ensuring patients have access to extended and flexible treatment options. The new requirements will take effect for health plans issued or renewed on or after January 1, 2026, providing health insurers time to adapt their coverage policies to comply with the new law.

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https://apps.legislature.ky.gov/record/25RS/hb539.html